Individual provider Active NPI

Melissa Dearmont, MSW,LICSW, LIMHP, CM

  • Mental Health Counselor
  • Bassett, NE
National Provider Identifier
1922057868
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2891 Issued in NE
Practice address
407 S Clark St
Bassett, NE 68714-5062
Phone
(402) 684-2908
Fax
(402) 913-3454
NPI assigned
May 9, 2006
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 257 NE
Mental Health Counselor 101YM0800X 2891 NE Primary
Social Worker 104100000X 1162 NE

Addresses

Primary practice location

407 S Clark St
Bassett, NE 68714-5062

Mailing address

84772 Filly Lane
Rose, NE 68714-6128
Phone (402) 760-3002

Other identifiers 2

IdentifierTypeStateIssuer
85517OtherNEBC/BS
100253381-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000602 NE Practitioner - Clinical Social Worker 6305870197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Country Clinic LLCGroup PAC ID 2466768809, 4 clinicians

Practice addresses (Care Compare)

308 N Main St
Valentine, NE 69201-1842
Phone (402) 684-2908

407 S Clark St
Bassett, NE 68714-6043
Phone (402) 684-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2891NEMDMental Health Counselor
1162NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Country Clinic LLC Mental Health CurrentSince Sep 1, 2015 Accepting new patients
Sandhills Behavioral Services LLC Mental Health PastSince Jun 29, 2025 Accepting new patients
Midwest Country Clinic Social Worker Past Accepting new patients

Locations

801 S State St
Bassett, NE 68714
Phone (402) 684-2730

805 S F St
Ste 20
Broken Bow, NE 68822

124 W 46th St
Ste 109
Kearney, NE 68847

308 N Main St
Valentine, NE 69201
Phone (402) 376-1690

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1922057868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84772 FILLY LANE",
            "city": "ROSE",
            "state": "NE",
            "postal_code": "687146128",
            "telephone_number": "402-760-3002",
            "fax_number": "402-913-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S CLARK ST",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687145062",
            "telephone_number": "402-684-2908",
            "fax_number": "402-913-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARMONT",
        "first_name": "MELISSA",
        "credential": "MSW,LICSW, LIMHP, CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "257",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2891",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "85517",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253381-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bassett, NE

Sources for this page

Verify at the official NPI Registry.